APPLICATION TO APPEAR BEFORE

THE NOLENSVILLE BOARD OF ZONING APPEALS

The applicant must supply a letter, signed by the owner of the property stating that the applicant is acting on the owner’s behalf in bringing this proposal to the Board of Zoning and Appeals Commission.  Ownership will be verified using County Tax information.  This authorization must be included with the initial submittal.  The item will not be placed on the agenda without proper authorization.

Application Date: _________________________      Hearing Date and Time: ___________________­­­______

Location of Property: _______________________________________________________________________

Map and Parcel Number: ___________________ Total Acreage: __________ Zoning: ______________

Owner: _____________________________________ Address:  ____________________________________

Phone: ____________________                    Cell Phone: ________________________

Applicant (if different from owner):______________________________________________________________

Applicant’s Address: ________________________________________________________________________

Mail Correspondence to:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   

I am requesting a hearing for the Board of Zoning Appeals to allow or grant a relief from (check one of the following):

______ Variance                     ______ Special Exception      ______ Appeal of Administrative Decision

1.      Applicant shall state why the variance is being requested:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
2.      What function the variance would accomplish:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
3.      What specific and unique circumstances exist that would authorize consideration by the  board under the review standards of this article:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         

I hereby certify that I have read this document and to the best of my knowledge this, and all other documents and plans submitted to the Nolensville Board of Zoning Appeals are true and correct.  

 Six (6) complete sets of plans are required for the initial staff review.

Signed: __________________________________________          Date:____________________________

Print Name: _______________________________________        Title:  ___________________________

REQUIRED FEES:

                Variance                 $50.00                              Special Exception          $50.00 

                Appeal of Administrative Decision       $ 50.00               

Fee Submitted: __________________                 Date: _______________             Receipt #:_____________________